首页|叙事视频联合回授法健康教育对急性脑梗死术后神经功能恢复及自我效能的影响

叙事视频联合回授法健康教育对急性脑梗死术后神经功能恢复及自我效能的影响

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目的:探讨叙事视频联合回授法健康教育对急性脑梗死患者术后神经功能恢复及自我效能的影响。方法:将 2019 年 1月1 日~2022 年 8 月 31 日收治的 82 例急性脑梗死患者按随机数字表法分为观察组和对照组各 41 例,对照组接受常规护理,观察组在对照组基础上接受叙事视频联合回授法健康教育。比较两组护理前、出院前自我效能[采用脑卒中自我效能感问卷(SSEQ)],护理前、出院前、随访 1 个月神经功能[采用美国国立卫生研究院卒中量表(NHISS)]、日常生活能力[采用Barthel指数(BI)]。结果:出院前,观察组SSEQ各维度评分及总分均高于对照组(P<0。05);随访 1 个月,观察组NHISS评分低于对照组(P<0。05),BI评分高于对照组(P<0。05)。结论:叙事视频联合回授法健康教育能改善急性脑梗死患者自我效能,促进神经功能恢复,提高患者日常生活能力。
Effects of Narrative Video Combined with Feedback Method Health Education on Postoperative Neurological Function Recovery and Self-effica-cy in Patients with Acute Cerebral Infarction
Objective:To observe the effects of narrative video combined with feedback method health education on postoperative neuro-logical function recovery and self-efficacy in patients with acute cerebral infarction.Methods:A total of 82 patients with acute cerebral in-farction admitted from January 1,2019 to August 31,2022 were randomly divided into observation group and control group according to the random number table method,with 41 cases in each group.The control group received routine care,while the observation group received narrative video combined with feedback method health education on the basis of the control group.The differences in self-efficacy using Stroke Self-efficacy Questionnaire(SSEQ)before nursing and before discharge,neurological function using National Institutes of Health Stroke Scale(NHISS)before nursing,before discharge and 1-month follow-up,ability of daily living using Barthel index(BI)were compared between the two groups.Results:Before discharge,the SSEQ scores of each dimension and total score in the observation group were higher than those in the control group(P<0.05).After 1 month of follow-up,the NHISS score in the observation group was lower than that in the control group(P<0.05),while the BI score was higher than that in the control group(P<0.05).Conclusion:Narrative video combined with feedback method health education has positive significance on enhancing the self-efficacy,promoting the recovery of neurological function,and restoring the ability of daily living of patients with acute cerebral infarction.

Acute cerebral infarctionNarrative videosFeedback methodHealth EducationNeurological functionSelf-efficacy

徐慧、明紫秀、庄晓研

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上饶市中医院 江西上饶 334000

急性脑梗死 叙事视频 回授法 健康教育 神经功能 自我效能

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(12)